Chin implant or lower face lift? (Photo)

Question

im 46 and my jowls are running into my neck! Would i benefit from getting a chin implant would this make my jowls better? I seem to have a very small jaw and chin and wondered if a chin implant would fill it out

Jed H. Horowitz, MD, FACS · Answer

I suggest beginning with an in-person consultation to discuss your options. During your initial examination, your #chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results. Also, #liposuction under the chin is also another option your doctor can discuss. If you are not a candidate for chin or neck rejuvenation at the time of your #consultation, your board certified plastic surgeon can recommend alternatives to address your concern. If deemed a candidate you may want to consider Lite-lift™ which is an affordable, quick, and effective innovative facelift developed by board-certified plastic surgeons Dr. Larry Nichter and myself. This is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.The best candidates for #LiteLift are non-smoking patients 35-60 years old with stable skin elasticity, well-defined bone structure but showing early changes of the lower face and the neck. Older patients who cannot or do not wish to have a longer operation or #general anesthetic can be improved with a Lite Lift™. All in all, Lite Lift™ surgery is individualized for each patient. According to your evaluation, your plastic surgeon may give you more than one option to choose from. Also, she or he can recommend non-surgical methods if suitable. However, there may be additional options to improve the appearance of your concern to improve the overall balance of your face. Such can be best evaluated in-person. Consulting with a board-certified plastic surgeon who specializes in #face, #neck and #chin procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

James Shire, MD · Answer

Thank you for your question. In looking at your pictures, you present with a weak chin and prejowl notching, jowling and the lose of  jawline definition, marionette lines, and sagging of the face and neck.You would definitly benefit from a chin-prejowl implant to re-establish your anterior jawline, and you would also be a great canidate for a lower facelift .Consult with an experienced facial plastic surgeon to be evaluated and dicsuss your options.

Vasdev Rai, MD · Answer

You are focusing on your chin and jowls and missing the fact that jowls and chin are just lower one third of your face. Just addressing this will draw it into disharmony with rest of your face. This is because you also have sagging in face, eyelids and forehead.You should plan to have total facelift, forehead lift,eyelids and chin implant for a harmonious outcome.

Barry L. Eppley, MD, DMD · Answer

The effects on the lower face between a chin implant and a lower facelift are dramatically different although they can be complementary. Only a lower facelift will improve the jowls, not a chin implant. But the chin implant will make the entire jawline and facial profile look better and that will enhance the result of the lower facelift.

Darryl J. Blinski, MD · Answer

It depends upon what you are expecting? A Full Face/Neck lift with chin implant. Vs mini lifts, lipo chin, ThermiTight RF chin, Silhouette lift. You really need OINLY in person opinions...

William Portuese, MD · Answer

The photographs demonstrate the facial changes of aging including fatty deposits of the neck and jowls, in addition to a weak and  recessive profile.  Placement of a chin implant will  help give added projection to the chin and help with facial balance and proportions along with support  of the soft tissues.  The goals  of a  lower face and neck lift include removal of fatty deposits in the neck, lifting the jowls, tightening loose facial and neck skin, and tightening loose facial and neck muscles. For many examples of this combination, please see the link and the video below

Gustavo A. Diaz, MD · Answer

Without an in person facial exam is difficult to make sure of the procedures that you need. From the limitations of the views that you provided you most probably will benefit actually from both procedures. A chin implant will improve your side view projection, but in might not improve completely your concerns with the jowls. The jowls will be better addresses by a facelift in my opinion.Hope this helps,Dr. Gus Diaz

Dennis Barek, MD (retired) · Answer

Thanks for your pictures.It appears that to get the best results, a full facelift and a chin implant would be needed. The facial and neck tissues have descended with age, and fat has accumulated in the neck. This can be greatly improved with a face lift. The chin is receded and a chin implant will give better facial harmony and balance.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facelifts
over the past 30 years.  From the attached photos, the cheeks are flat
anteriorly (in the front), the chin is weak, there is excess facial and neck fat along with
excess facial skin evidenced by jowls and nasolabial folds.  These combine
to create a rectangular shaped face.

Following the beauty principles
outlined in my book on face and body beauty, women look the most feminine,
youthful and attractive with heart shaped faces. Heart shaped faces have cheeks
that are full and round in the front.  Cheek augmentation using a dermal filler
(I prefer Restylane Lyft) or with cheek implants for a permanent enhancement
will create full, round cheeks anteriorly that will feminize the entire face.

When the chin is weak, this creates an
imbalance making the nose appear larger, the mid face top heavy and the lower
face appear shorter which de-emphasizes the shape and fullness of the lips.  Chin augmentation, using a chin implant, will add projection to the chin
creating harmony and balance to the lower face.  I have found placing a silastic
chin implant through a small, curved, incisions under the chin to be very safe,
quick, highly effective and far less invasive than a sliding genioplasty that
requires bone cuts with placement of screws and metal plates.Jowls are sagging facial tissues
and an indication for some form of a facelift.  The underlying SMAS layer,
of the face, must be dissected, lifted, trimmed and re-sutured.  The excess skin
is then removed and the facelift incisions closed.

My most popular facelift is the
minimally invasive, short incision facelift that has all the benefits of more
invasive facelifts (traditional, mid-face, deep plane and subperiosteal
facelifts) but with these added benefits:

•very small incisions

•minimal tissue dissection = less
bruising and swelling = rapid recovery

•can be performed in 90 minutes or
less, with or without anesthesia

•no incisions within the hair = no
hair loss

•excess fat can be removed

•excess skin removed

•cheeks, chin and jaw line can be
augmented with dermal fillers (I prefer Restylane Lyft) or facial implants

•most patients fly back home to parts
all over the world in as little as 3 days post-op

Hope this helps.

Chin implant or lower face lift? (Photo)

Answers (9)